• 제목/요약/키워드: Hospital Infection Management

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Infection Control and Management Strategy for COVID-19 in the Radiology Department: Focusing on Experiences from China

  • Qian Chen;Zi Yue Zu;Meng Di Jiang;Lingquan Lu;Guang Ming Lu;Long Jiang Zhang
    • Korean Journal of Radiology
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    • 제21권7호
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    • pp.851-858
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    • 2020
  • Coronavirus disease 2019 (COVID-19) is a new infectious disease rapidly spreading around the world, raising global public health concerns. Radiological examinations play a crucial role in the early diagnosis and follow-up of COVID-19. Cross infection among patients and radiographers can occur in radiology departments due to the close and frequent contact of radiographers with confirmed or potentially infected patients in a relatively confined room during radiological workflow. This article outlines our experience in the emergency management procedure and infection control of the radiology department during the COVID-19 outbreak.

건강신념모델에 근거한 중환자실 간호사의 다제내성균주 감염관리 수행에 영향을 미치는 요인 (Factors related to the Management of MultiDrug-Resistant Organisms among Intensive Care Unit Nurses: An Application of the Health Belief Model)

  • 김수영;차지영
    • 기본간호학회지
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    • 제22권3호
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    • pp.268-276
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    • 2015
  • Purpose: The purpose of this study was to identify factors which influence the management of MultiDrug -Resistant Organisms (MDROs) by nurses in Intensive Care Units (ICUs). Methods: Data were collected from December 8 to 20, 2013 and participants were 163 ICU nurses working in one general hospital. The Health Belief Model tool and knowledge and management of MDROs infection tools were used in the study. Descriptive statistics, t-test, analysis of variances, Pearson correlation coefficients and multiple regression were used to analyze the data. Results: Knowledge, perceived susceptibility, and perceived benefits had a significant influence on MRSA (Methicillin Resistant Staphylococcus Aureus,) and MDRAB (Multidrug Resistant Acinetobacter Baumannii) infection management when all the other variables were considered. Significant variable which had influence on VRE (Vancomycin Resistant Eenterococci) infection management were perceived susceptibility and perceived benefits. Conclusion: Perceived susceptibility and perceived benefits had significant influence on MDROs infection management. Emphasis needs to be on the perceived susceptibility and perceived benefits of MDROs infection management when providing an educational program for ICU nurses.

종합병원 의료종사자의 병원감염관리 인지도 및 실천도 연구 (A Study on the Awareness and Practice of Hospital Infection Control among Medical Workers in General Hospitals)

  • 강연희;구재흥
    • 한국방사선학회논문지
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    • 제15권3호
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    • pp.361-370
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    • 2021
  • 본 연구는 부산 시내에 있는 종합병원에 근무하는 종사자들을 대상으로 병원감염관리에 대한 인지도 및 실천도에 대해 파악하여 병원감염관리 방안 및 교육 등에 대한 기초자료를 제공하고자 설문조사를 실시하고 이를 분석하였다. 일반적인 변수의 차이를 보기 위한 t-test 및 일원분산분석(one way ANOVA)을 실시한 결과 대체적으로 개인 위생관리에 대한 인지도와 실천도가 낮게 나타났고, 장비 위생관리의 인지도와 실천도는 높게 나타났다. 남성의 개인위생관리를 제외한 전 영역에서 인지도가 실천도보다 높게 나타나 병염감염관리의 인지도에 비해 실천도는 부족하다는 것을 확인하였다. Pearson 상관분석을 통한 결과로는 감염관리에 관한 인지도가 높은 사람이 실천도도 높은 결과를 나타내 병원 종사자들의 감염관리에 대한 인지도를 높이는 것이 병원감염예방에 효과적인 것으로 생각되었다. 따라서 병원감염관리에 대하여 지속적인 교육으로 종사자들의 감염관리에 대한 인지도를 상승시키고, 이를 실천하기 위한 병원 종사자들의 노력도 필요한 것으로 사료된다.

수술실 간호사의 병원감염관리 실천정도에 영향을 미치는 요인 (Factors Affecting on the Level of Practice on Nosocomial Infection Management among Operating Room Nurses)

  • 허선;김인숙;김계하
    • 성인간호학회지
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    • 제20권3호
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    • pp.375-385
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    • 2008
  • Purpose: This study is to identify factors affecting on the level of practice on nosocomial infection management of operating room nurses. Methods: The subjects of this study were 155 nurses who worked in operating rooms of six medical centers in located Gwangju and Chonanam area. Data were collected during October, 2006 by the questionnaire including a total of 124 questions. Data collected were analysed with use of SPSS 12.0 program. Results: There was a significant difference of the level of practice by marital status(t=3.957, p=.048), education level(F=3.691, p=.027), position(F=6.588, p=.002), type of hospital(t=4.857, p=.029), number of nurse(F=4.243, p=.007), education about nosocomial infection management(F=3.069, p=.030), management council(t=6.397, p=.012) and management manual(t=6.961, p=.009). There were significant correlations between knowledge and practice (r=.389, p=.000), and between awareness and practice(r=.389, p=.000). Knowledge on nosocomial infection management, awareness of hands washing and positions were affecting factors on the level of practice. Conclusion: This study suggests that knowledge and awareness on nosocomial infection prevention and management of operating room nurses should be improved through consistent education. and support of administrator's of hospitals is needed.

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Bronchopulmonary Infection of Lophomonas blattarum: A Case and Literature Review

  • Xue, Jian;Li, Ying-Li;Yu, Xue-Mei;Li, Dai-Kun;Liu, Ming-Fang;Qiu, Jing-Fu;Xue, Jian-Jiang
    • Parasites, Hosts and Diseases
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    • 제52권5호
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    • pp.521-525
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    • 2014
  • Human infections with Lophomonas blattarum are rare. However, the majority of the infections occurred in China, 94.4% (136 cases) of all cases in the world. This infection is difficult to differentiate from other pulmonary infections with similar symptoms. Here we reported a case of L. blattarum infection confirmed by bronchoalveolar lavage fluid smear on the microscopic observations. The patient was a 21-year-old female college student. The previous case which occurred in Chongqing was 20 years ago. We briefly reviewed on this infection reported in the world during the recent 20 years. The epidemiological characteristics, possible diagnostic basis, and treatment of this disease is discussed in order to provide a better understanding of recognition, diagnosis, and treatment of L. blattarum infection.

수술실 간호인력 대상 수술부위 감염관리 교육의 효과 (The Effect of Educational Training on Surgical Site Infection Management for Operating Room Nursing Staff)

  • 허연정;남소희;현혜진
    • 한국의료질향상학회지
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    • 제27권2호
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    • pp.83-93
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    • 2021
  • Purpose: This study tested the effectiveness of brochure- and video-based education on managing surgical site infections by operating room health personnel. Methods: From April 20 to May 4, 2021, 34 operating room health personnel were subjected to training on surgical site infection management using brochures and educational videos. A survey was then conducted on knowledge, perception, and adherence regarding surgical site infection management. Results: After receiving training on surgical site infection management, the knowledge score increased significantly (15.15±2.09 vs.19.70±1.96, p<.001). However, the perception and adherence scores were already near perfect before the intervention and did not further increase after the intervention. Conclusion: It is necessary to develop and utilize continuous and substantive educational programs to improve perception and adherence of surgical site infection management.

국내 감염관리간호사의 핵심역량과 영향요인 분석 (Factors Affecting Core Competencies among Infection Control Nurses in Korea)

  • 김경미;최정실
    • 성인간호학회지
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    • 제26권1호
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    • pp.11-21
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    • 2014
  • Purpose: This study was conducted to describe core competencies and identify factors affecting core competencies among infection control nurses (ICN). Methods: Infection control nurses from hospital with more than 200 beds comprised the sample. Questionnaires were sent to the sample via e-mail. One hundred and three questionnaires were returned. Data were analyzed with descriptive statistics and stepwise multiple regression via SPSS/WIN 21.0. Results: The core competency level of healthcare workers area was the highest that of the education and research was the lowest. There were significant differences in core competencies related to demographics such as age, clinical carrier, infection control carrier, position, academic degree, infection control specialist license, hospital location, and hospital type. The explained variances for the core competency were 38.3% and the contributing factors to core competencies were infection control carrier and infection control specialist license. Conclusion: It showed various levels of core competencies depending on infection control nurses' demographics and hospital traits, therefore consistent management efforts for the licensing and career path of infection control would be required.

단일 3차 의료기관 집중치료실에서 발생한 다약제내성 Acinetobacter baumannii의 4례 (Four Children with Multidrug-resistant Acinetobactor baumanii Infections in the Intensive Care Units of a University Hospital)

  • 이경석;이규민;윤회수;정사준;차성호;천희경
    • Pediatric Infection and Vaccine
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    • 제18권1호
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    • pp.97-102
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    • 2011
  • Acinetobactor baumanii 는 기회 감염균으로 carbapenem의 사용이 증가하면서 MDRAB와 같은 내성균으로 출현하고 있다. 저자들은 경희의료원에서 carbapenem을 투약받지 않았더라도 집중치료실에 장기간 입원하여 기관삽관과 인공호흡기 치료를 받거나 침습적인 수술을 받아 도관을 유지하는 환아에서 MDRAB가 동정되었다는 것을 확인하였다. carbapenem을 사용하지 않았더라도 장기간 집중치료실에 입원할 것으로 예상되는 환자들에게 원내전파를 통한 감염을 최소화하기 위하여 원내감염관리에 최선을 다해야 할 것이기에 이상의 증례를 통하여 보고한다.

의료기관 인증제 도입에 따른 감염관리 실태 분석 (Analysis of the Status of Infection Controls after Application of the Healthcare Accreditation System)

  • 정선영;오향순;천희경
    • 보건의료산업학회지
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    • 제9권4호
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    • pp.33-49
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    • 2015
  • Objectives : This study was conducted to measure the effects of healthcare accreditation (HA) on the changes in infection control (IC). Methods : Questionnaires were e-mailed to 60 hospitals from 23 October to 23 December, 2011. Data were analyzed by SPSS 12.0. Results : Finally 50 hospitals (83.0%) were enrolled in the study: Seoul area (40.0%), tertiary (76.0%), and >500 beds (98.0%). Nine hospitals (18.0%) had a full time infection control nurse[ICN] with 300 beds. Among various factors, ICN (36.0%), hospital facilities (66.0%), instruments (32.0%) and supplies (88.0%) all improved. Hand hygiene increased (53.1% vs 83.2%, p<.001), but it was continued only in 34.1% of hospitals. Healthcare-associated infection (68.4%), multi drug resistant organisms (42.1%) and outbreaks (26.3%) decreased. Reasons for difficulties in satisfying the HA standards were inadequate support which included hospital facilities, instruments, budget, and a shortage of ICNs and healthcare workers (HCWs). Conclusions : HA had effects on the IC, but they were transient. Staffing in ICN and HCW staffing, hospital facilities, instruments, and supplies all need to be improved.